Healthcare Provider Details

I. General information

NPI: 1881062032
Provider Name (Legal Business Name): CHIU CHIROPRACTIC CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2015
Last Update Date: 09/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W VALLEY BLVD SUITE 102
ALHAMBRA CA
91803-3250
US

IV. Provider business mailing address

801 W VALLEY BLVD SUITE 102
ALHAMBRA CA
91803-3250
US

V. Phone/Fax

Practice location:
  • Phone: 626-282-7300
  • Fax: 626-282-7380
Mailing address:
  • Phone: 626-282-7300
  • Fax: 626-282-7380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC29913
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 11228
License Number StateCA

VIII. Authorized Official

Name: DR. DENNY TYH CHING CHIU
Title or Position: PRESIDENT
Credential: D.C
Phone: 626-282-7300